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EM@3AM: Basilar Artery Occlusion

EMDocs

Answer : Basilar Artery Occlusion Epidemiology:  Basilar artery occlusion (BAO) is a subset of the posterior circulation strokes. Posterior circulation strokes are estimated to account for 20% of all strokes, with BAO accounting for ~1% of all strokes. Symptoms may range from days to months prior to stroke onset.

EMS 98
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TXA in head injuries

Don't Forget the Bubbles

Again, there was no increase in thrombotic stroke in the TXA group – TXA looks safe. 2014 Dec;77(6):852-8; discussion 858. in the TXA group vs 53.7% in the placebo group). This study moves trauma care beyond just ‘survival’. What about head injury , though? Eckert MJ, Wertin TM, Tyner SD, Nelson DW, Izenberg S, Martin MJ.

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ICU Physiology in 1000 Words: The Pulse

PulmCCM

This is analogous to a left ventricle with constant stroke volume and heart rate, respectively. Taylor KJW, Burns PN, Wells PNT: Clinical Applications of Doppler Ultrasound. Pulmonary circulation 2014, 4(2):211-219. However, the following model should dispel some of these half-truths.

Burns 40
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Diagnostics: Inflammatory Markers

Taming the SRU

However, PCT can be elevated in severe trauma, such as burns or surgery [5,25]. Epub 2014 Dec 3. Epub 2014 Oct 27. Notably, PCT is not elevated in noninfectious inflammatory conditions including most rheumatological diseases, gout, SLE, and IBD. Kinetics & Reference Range: Normal serum levels of PCT are < 0.05

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Pediatric Pain

Pediatric Emergency Playbook

Use soothing sensory measures: speak softly, offer a pacifier, and stroke the skin softly. A special note on codeine : Tylenol with codeine (“T3”) has never been a very effective pain medication, as up to 10% of patients lack enzymatic activity to metabolize it into morphine, its active form ( Crews 2014 ).

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Pain Management of Common Chief Complaints in the ED

EMDocs

21 Case: A 40-year-old male presents to the ED with a burning epigastric pain that has been worsening over the past week. Pain can be gnawing, aching, burning, and located in the upper abdomen. doi:10.1136/heartjnl-2014-306362 LeWinter MM. Tension headaches are characterized by bilateral location and mild to moderate intensity.

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ED care of refugee populations from sub-Saharan Africa

EMDocs

These patients suffer from untreated physical injuries, including gunshot wounds, shrapnel, accidents, envenomations, sequelae of physical or sexual assault, and heat exhaustion/heat stroke. Physical injuries and burns among refugees in Lebanon: implications for programs and policies. In: CDC Yellow Book 2024. Confl Health.